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Открытая хирургия фибрилляции предсердий: от истоков к современности (обзорная статья)

Abstract

Фибрилляция предсердий, являясь наиболее распространенной устойчивой аритмией, представляет значимую задачу для кардиохирургии. Открытые хирургические методы, зародившиеся с разработки процедуры Cox-Maze в 1980-х годах, направлены на устранение эктопических очагов через создание контролируемых линий аблации. Современная открытая хирургия фибрилляции предсердий развилась за счет внедрения энергетических методов абляции, таких как радиочастотная, криоаблация, которые позволяют формировать трансмуральные поражения с меньшей инвазивностью. Целью обзорной статьи является познакомить читателя с историей развития хирургии фибрилляции предсердий.

About the Authors

Илшат Закиров
Государственное автономное учреждение здравоохранения “Альметьевская межрайонная многопрофильная больница”, ул. Радищева, 67, Альметьевск, Российская Федерация 423458.
Russian Federation


Андрей Протопопов
ФГБУ "НМИЦ им. ак. Е.Н. Мешалкина"
Russian Federation


Александр Чернявский
ФГБУ "НМИЦ им. ак. Е.Н. Мешалкина" ФГБОУ ВО НГМУ
Russian Federation


References

1. Linz D. et al. Atrial fibrillation: epidemiology, screening and digital health. The Lancet Regional Health - Europe. Elsevier Ltd. 2024; 37:100786. https://doi.org/10.1016/j.lanepe.2023.100786

2. Al-Kawaz M. et al. Comparative Risks of Ischemic Stroke in Atrial Flutter versus Atrial Fibrillation. J Stroke Cerebrovasc Dis. J Stroke Cerebrovasc Dis. 2018; 27 (4): 839–844. ttps://doi.org/10.1016/j.jstrokecerebrovasdis.2017.10.025

3. Stewart S. et al. A population-based study of the long-term risks associated with atrial fibrillation: 20-Year follow-up of the Renfrew/Paisley study. American Journal of Medicine. Am J Med. 2002; 113 (5): 359–364. https://doi.org/10.1016/s0002-9343(02)01236-6

4. Mareev Y. V. et al. Epidemiology of atrial fibrillation in a representative sample of the European part of the Russian Federation. Analysis of EPOCH-CHF study. Kardiologiya. Limited Liability Company KlinMed Consulting. 2022; 62 (4): 12–19. https://doi.org/10.18087/cardio.2022.4.n1997

5. Alshehri A.M. Stroke in atrial fibrillation: Review of risk stratification and preventive therapy. J Family Community Med. Wolters Kluwer Medknow Publications. 2019; 26 (2): 92. https://doi.org/10.4103/jfcm.jfcm_99_18

6. Flint A.C. et al. Detection of paroxysmal atrial fibrillation by 30-day event monitoring in cryptogenic ischemic stroke: the Stroke and Monitoring for PAF in Real Time (SMART) Registry. Stroke. Stroke. 2012; 43 (10): 2788–2790. https://doi.org/10.1161/strokeaha.112.665844

7. Roth G.A. et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study. J Am Coll Cardiol. 2020; 76 (25): 2982–3021. https://doi.org/10.1016/j.jacc.2020.11.010

8. Hermans A.N.L. et al. Mobile health solutions for atrial fibrillation detection and management: a systematic review. Clin Res Cardiol. Clin Res Cardiol. 2022; 111 (5): 479–491. https://doi.org/10.1007/s00392-021-01941-9

9. McMichael J. History of atrial fibrillation 1628-1819 Harvey - de Senac – Laënnec. Br Heart J. 1982; 48 (3): 193. https://doi.org/10.1136/hrt.48.3.193

10. Aronson J.K. One hundred years of atrial fibrillation. Br J Clin Pharmacol. 2005; 60 (4): 345. https://doi.org/10.1111/j.1365-2125.2005.02501.x

11. Guevara M.R. et al. George Ralph Mines (1886–1914): the dawn of cardiac nonlinear dynamics. J Physiol. Blackwell Publishing Ltd. 2016; 594 (9): 2361. https://doi.org/10.1113/jp270891

12. Van Gelder I.C. et al. 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. Oxford University Press (OUP). 2024. https://doi.org/10.1093/eurheartj/ehae176

13. Pappone C., Santinelli V. Atrial fibrillation ablation: state of the art. Am J Cardiol. Am J Cardiol. 2005; 96 (12A): 59–64. https://doi.org/10.1016/j.amjcard.2005.09.063

14. Haïssaguerre M. et al. Spontaneous Initiation of Atrial Fibrillation by Ectopic Beats Originating in the Pulmonary Veins. New England Journal of Medicine. Massachusetts Medical Society. 1998; 339 (10): 659–666. https://doi.org/10.1056/nejm199809033391003

15. Jaïs P. et al. Mitral isthmus ablation for atrial fibrillation. J Cardiovasc Electrophysiol. J Cardiovasc Electrophysiol. 2005; 16 (11): 1157–1159. https://doi.org/10.1111/j.1540-8167.2005.00314.x

16. Cox J.L. et al. An 8 1/2-year clinical experience with surgery for atrial fibrillation. Ann Surg. Ann Surg. 1996; 224 (3): 267–275. https://doi.org/10.1097/00000658-199609000-00003

17. Pinho-Gomes A.C. et al. Surgical treatment of atrial fibrillation: an updated review. European Journal of Cardio-Thoracic Surgery. Oxford Academic. 2014; 46 (2): 167–178. https://doi.org/10.1093/ejcts/ezt584

18. McCarthy P.M. et al. Surgery and Catheter Ablation for Atrial Fibrillation: History, Current Practice, and Future Directions. Journal of Clinical Medicine. Multidisciplinary Digital Publishing Institute. 2021; 11 (1): 210. https://doi.org/10.3390/jcm11010210

19. Cox J.L. The Standard Maze-III Procedure. Operative Techniques in Thoracic and Cardiovascular Surgery. Elsevier. 2000; 5 (1): 2–22. https://doi.org/10.1053/oi.2000.5550

20. Raanani E. et al. The efficacy of the Cox/maze procedure combined with mitral valve surgery: a matched control study. Eur J Cardiothorac Surg. 2001; 19 (4): 438–442. https://doi.org/10.1016/s1010-7940(01)00576-0

21. Handa N. et al. Outcome of valve repair and the Cox maze procedure for mitral regurgitation and associated atrial fibrillation. J Thorac Cardiovasc Surg. 1999; 118 (4): 628–635. https://doi.org/10.1016/s0022-5223(99)70007-3

22. Weimar T. et al. The Cox-maze IV procedure for lone atrial fibrillation: a single center experience in 100 consecutive patients. J Interv Card Electrophysiol. 2011; 31 (1): 47. https://doi.org/10.1007/s10840-011-9547-3

23. Schuetz A. et al. Surgical treatment of permanent atrial fibrillation using microwave energy ablation: a prospective randomized clinical trial. Eur J Cardiothorac Surg. 2003; 24 (4): 475–480. https://doi.org/10.1016/s1010-7940(03)00377-4

24. Cox J.L. The minimally invasive Maze-III procedure. Operative Techniques in Thoracic and Cardiovascular Surgery. Elsevier. 2000; 5 (1): 79–92. https://doi.org/10.1053/oi.2000.5973

25. Gaynor S.L. et al. A prospective, single-center clinical trial of a modified Cox maze procedure with bipolar radiofrequency ablation. Journal of Thoracic and Cardiovascular Surgery. J Thorac Cardiovasc Surg. 2004; 128 (4): 535–542. https://doi.org/10.1016/j.jtcvs.2004.02.044

26. Weimar T. et al. The cox-maze procedure for lone atrial fibrillation: a single-center experience over 2 decades. Circ Arrhythm Electrophysiol. Circ Arrhythm Electrophysiol. 2012; 5 (1): 8–14. https://doi.org/10.1161/circep.111.963819

27. Viola N. et al. The technology in use for the surgical ablation of atrial fibrillation. Semin Thorac Cardiovasc Surg. 2002; 14 (3): 198–205. https://doi.org/10.1053/stcs.2002.35292

28. Nakagawa H. et al. Inverse relationship between electrode size and lesion size during radiofrequency ablation with active electrode cooling. Circulation. 1998; 98 (5): 458–465. https://doi.org/10.1161/01.cir.98.5.458

29. Santiago T. et al. Intra-atrial temperatures in radiofrequency endocardial ablation: histologic evaluation of lesions. Ann Thorac Surg. 2003; 755: 1495–1501. https://doi.org/10.1016/s0003-4975(02)04990-1

30. Thomas S.P. et al. Comparison of epicardial and endocardial linear ablation using handheld probes. Ann Thorac Surg. 2003; 72: 543–548. https://doi.org/10.1016/s0003-4975(02)04314-x

31. Bugge E., Nicholson I.A., Thomas S.P. Comparison of bipolar and unipolar radiofrequency ablation in an in vivo experimental model. Eur J Cardiothorac Surg. 2005; 28 (1): 76–82. https://doi.org/10.1016/j.ejcts.2005.02.028

32. Santiago T. et al. Epicardial radiofrequency applications: in vitro and in vivo studies on human atrial myocardium. Eur J Cardiothorac Surg. 2003; 24 (4): 481–486. https://doi.org/10.1016/s1010-7940(03)00344-0

33. Prasad S.M. et al. Chronic transmural atrial ablation by using bipolar radiofrequency energy on the beating heart. Journal of Thoracic and Cardiovascular Surgery. Mosby Inc. 2002; 124 (4): 708–713. https://doi.org/10.1067/mtc.2002.125057

34. Prasad S.M. et al. Physiological consequences of bipolar radiofrequency energy on the atria and pulmonary veins: A chronic animal study. Annals of Thoracic Surgery. 2003; 76 (3): 836–842. https://doi.org/10.1016/s0003-4975(03)00716-1

35. Holman W.L. et al. Ventricular cryosurgery: short-term effects on intramural electrophysiology // Ann Thorac Surg. 1983; 35 (4): 386–393. https://doi.org/10.1016/s0003-4975(10)61589-5

36. Lustgarten D.L., Keane D., Ruskin J. Cryothermal ablation: mechanism of tissue injury and current experience in the treatment of tachyarrhythmias. Prog Cardiovasc Dis. 1999; 41 (6): 481–498. https://doi.org/10.1016/s0033-0620(99)70024-1

37. Ghalili K. et al. Comparison of left ventricular cryolesions created by liquid nitrogen and nitrous oxide. J Am Coll Cardiol. 1992; 20 (6): 1425–1429. https://doi.org/10.1016/0735-1097(92)90258-o

38. Milla F. et al. Epicardial beating heart cryoablation using a novel argon-based cryoclamp and linear probe. J Thorac Cardiovasc Surg. 2006; 131 (2): 403–411. https://doi.org/10.1016/j.jtcvs.2005.10.048

39. Pruitt J.C. et al. Totally endoscopic ablation of lone atrial fibrillation: initial clinical experience // Ann Thorac Surg. 2006; 81 (4): 1325–1331. https://doi.org/10.1016/j.athoracsur.2005.07.095

40. Wolf R.K. et al. Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation // Journal of Thoracic and Cardiovascular Surgery. Elsevier, 2005. Vol. 130, № 3. P. 797–802. https://doi.org/10.1016/j.jtcvs.2005.03.041

41. Edgerton J.R. et al. Totally thorascopic surgical ablation of persistent AF and long-standing persistent atrial fibrillation using the “Dallas” lesion set. Heart Rhythm. Elsevier. 2009; 6 (12):64–S70. https://doi.org/10.1016/j.hrthm.2009.09.011

42. Bockeria L.A. Long-term results of one-stage surgery of valvular heart diseases and heart rhythm disorders in the remote terms after the operation. 2018; 1: 12. https://doi.org/10.24022/1997-3187-2018-12-1-50-61

43. Kapa S., Venkatachalam K.L., Asirvatham S.J. The autonomic nervous system in cardiac electrophysiology: an elegant interaction and emerging concepts. Cardiol Rev. Cardiol Rev. 2010; 18 (6): 275–284. https://doi.org/10.1097/crd.0b013e3181ebb152

44. Schauerte P. et al. Focal atrial fibrillation: experimental evidence for a pathophysiologic role of the autonomic nervous system. J Cardiovasc Electrophysiol. 2001; 12 (5): 592–599. https://doi.org/10.1046/j.1540-8167.2001.00592.x

45. Yuan B. ‐X et al. Gross and microscopic anatomy of the canine intrinsic cardiac nervous system. Anat Rec. 1994; 239 (1): 75–87. https://doi.org/10.1002/ar.1092390109

46. Liu S. et al. Ablation of the Ligament of Marshall and Left Stellate Ganglion Similarly Reduces Ventricular Arrhythmias During Acute Myocardial Infarction. Circ Arrhythm Electrophysiol. 2018; 11 (5). https://doi.org/10.1161/circep.117.005945

47. Musikantow D.R. et al. Targeted ablation of epicardial ganglionated plexi during cardiac surgery with pulsed field electroporation (NEURAL AF). Journal of Interventional Cardiac Electrophysiology. Springer. 2023: 1–8. https://doi.org/10.1007/s10840-023-01615-8

48. Williams J.M. et al. Left atrial isolation: New technique for the treatment of supraventricular arrhythmias. J Thorac Cardiovasc Surg. Mosby. 1980; 80 (3): 373–380.

49. Graffigna A. et al. Left atrial isolation associated with mitral valve operations // Ann Thorac Surg. Ann Thorac Surg. 1992; 54 (6): 1093–1098. https://doi.org/10.1016/0003-4975(92)90075-f


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